SUSAN M BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136850

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

BLACK

Business Name

SUSAN M BLACK

Original Issue Date

10/06/1970

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

03/08/2012